Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $91.20	Professional		$56.23	$64.57	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $107.15	Professional		$51.29	$70.79	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $138.04	Professional		$69.18	$100.00	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $144.54	Facility		$58.88	$85.11	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $173.78	Professional		$72.44	$107.15	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $154.88	Professional		$74.13	$112.20	$154.88